| NPI | 1982870713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON TUARNER RAY Office Manager 919-847-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NC 4964) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |